MEDICARE: RICHTER MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	MR053494	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080186543	OTHER		MEDICARE TRAVELERS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080F322550	OTHER	MI	BCBS
3	0994309	OTHER		HEALTH PLUS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	080F322550	OTHER		BLUECARE NETWORK
6	P3210	OTHER		BLUECARE NETWORK
7	F60165	OTHER		HAP

General Provider Information

NPI Number	:	1730152133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHTER MD PC

Provider Business Mailing Address
First Line	:	8355 HIGHLAND RD
Second Line	:
City	:	WHITE LAKE
State	:	MI
Zip	:	48386-4618
Country	:	US
Telephone Number	:	248-666-6005
Fax Number	:	248-666-6669

Provider Business Practice Location Address
First Line	:	8355 HIGHLAND RD
Second Line	:
City	:	WHITE LAKE
State	:	MI
Zip	:	48386-4618
Country	:	US
Telephone Number	:	248-666-6005
Fax Number	:	248-666-6669

Authorized Official
Title or Position	:	SECRETARY TREASURER
Name	:	DR. MAEK H RICHTER
Credential	:	MD
Telephone Number	:	248-819-2414

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	02/12/2016

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Directions to “RICHTER MD PC ” Practice Location

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